Document, Forms, and Manuals for Providers
CarePlus is a Florida-based Health Maintenance Organization (HMO) with a Medicare contract. We are committed to serving our members, community, and affiliated healthcare providers through teamwork, quality of care, community service, and a focus on provider satisfaction.
Review the manual below for policies, procedures, training resources, and guidelines to support the administration of CarePlus benefits and services.
Compliance Program Requirements
Compliance Policy for Contracted Health Care Providers and Third Parties
Ethics Every Day for Contracted Health Care Providers and Third Parties
Frequently Asked Questions about Compliance Program Requirements
What are Fraud, Waste and Abuse and How to Report Them
Additional Resources for Providers
Health Services Preauthorization Form Additional Resources – Infection Control and Prevention Clinical Practice Guidelines Delegated Provider Resources National Coverage Determinations Provider Crisis Contact/Location Information Provider Web Services Access Request Form Tools to Address Cultural Gaps in Care Quick Reference Preauthorization Guide
